Individual provider Active NPI

Karolina A. Wytrykowska, LPC, LADC

  • Professional Counselor
  • Newington, CT
National Provider Identifier
1437893450
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5440 Issued in CT
Practice address
107 Fenn Rd
Newington, CT 06111-2250
Phone
(860) 518-4687
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1429 CT
Professional Counselor 101YP2500X 5440 CT Primary

Addresses

Primary practice location

107 Fenn Rd
Newington, CT 06111-2250

Mailing address

203 Stoddard Ave # 203
Newington, CT 06111-1926
Phone (860) 518-4687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1429CTMDBehavioral Analyst
5440CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Kare LLC CurrentSince May 1, 2022 Accepting new patients

Locations

45 Russell St
New Britain, CT 06052
Phone (860) 348-3371

107 Fenn Rd
Newington, CT 06111
Phone (860) 404-5775

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1437893450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STODDARD AVE # 203",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111926",
            "telephone_number": "860-518-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FENN RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112250",
            "telephone_number": "860-518-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYTRYKOWSKA",
        "first_name": "KAROLINA",
        "middle_name": "A.",
        "credential": "LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1429",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.